As a practicing veterinarian, Dr. Dym has over 19 years of experience and dedication to enhancing the overall health and well-being of pets. His commitment and passion for pet health continuously drives him to learn more about the art and science of homeopathy through ongoing training and education.Submit Your Question
Question:My Female Cat Is 3.5 Years Old Up To Date On Shots And Is Fixed. She Has Been Running To The Cat Box And Not Making It In Time. She's Been Peeing On The Floor In Front Of Me And Doesn't Even Know She Does It. Is This A Uti?
Answer:She Likely Has A Urinary Tract Inflammation, Not Infection. Most Vets Erroneously Call These Urinary Infections And Prescribe Antibiotics, Even Though Bacteria Most Often Not Involved. To Learn More About This Frustrating And Often Chronic And Recurrent Condition, See The Article By Wendy Brooks Dvm On Feline Lower Urinary Tract Disease, Which You Can Google And Find On Line,. Has Excellent Review Of This Syndrome And How To Lessen Recurrences I.e Increasing Wet Food And Minimizing Stress In Home. A Veterinary Exam And Evaluation Is Suggested For Prescription Pain Medicines To Help
Question:I Have A One Year Old Cat , She Has Been Fixed With All Shots . She Was Sneaking Out The House A Few Times , Told To Get Back Inside When She Would Be Caught But Started To Use The Bathroom Outside Her Litter Box . She Is Only Peeing Outside The Box , But I Haven't Seeing Any Other Symptoms . She Also Had A Glade Cat Litter By Perina ( Was Used Way Before The Accidents ) . Just Wondering If This Could Be A Case Of A Uti ?
Answer:Actual Urinary Tract Infections Are Rare In Cats, As Most Of Time Urinary Tract Inflammation Is More Of A Sterile Process. To Learn More, Google The Excellent Article By Wendy Brooks, Dvm On Feline Lower Urinary Tract Disease For Best Long Term Suggestions And Prevention Like Stress Reduction, Increasing Wet Food Ingestion, Etc. I Would Try Natural Calming Agents Like Be Serene And Composure From 1800petmeds, As Well As Tinkle Tonic Www.animalessentials.com See Your Vet If Signs Persist Or Worsen
Question:I Found A Blood Splot On In My Cats Litter Box And Took Her In To Vet Yesterday. They Found Bacteria In Her Urine And She Was Given An Antibiotic Shot Of Convenia. I Have Not Seen Her Drink Water But Have Been Giving Her Wet Food Mixed With Water To Help. She Has Not Used The Bathroom Much And When She Does Its Small Amounts. How Will I Know If The Uti Is Clearing Up Or Getting Better? How Long Does The Antibiotic Take To Work? Please Let Me Know I Am Worried, She Seems Very Uncomfortable.
Answer:It Always Frustrates Me How Veterinarians Overuse And Misuse Antibiotics. Most Cats With Lower Urinary Tract Disease Do Not Have Infections As Causing Or Contributing To Their Symptoms, As Studies Show, In Most Young Cats. Other Anti Inflammatory And/or Pain Meds Are Better Indicated Such As Buprenorphine, Etc. Making Sure Cat Gets Adequate Fluids Either Through Subq Fluids Or Canned Food Is Also Important. I Would Google And Read Over In Detail The Excellent Article On All Of This From Wendy Brooks Feline Lower Urinary Tract Disease, Which You Can Google. I Would Bring Back Cat To Vet Or Call For Appropriate Fluid And/or Pain Management
Question:My 15mth Old Border Collie Was Just Diagnosed With Pituitary Dependant Cushings. Is There A Holistic Approach For Treatment Or Just A Toxic One That Could Kill Her. I Had The Vet Also Want To Run A Liver Test On Her. Her Age And Previous Cbc Test Through Up A Red Flag With The Cushings Diagnoses. He Thinks She Has A Possible Liver Shunt That May Be Her Problem And Not Cushings Or Could Be Both. She Does Sleep A Little More But Only In Ocassion Drinks More Than Usual. Her Hair Has Been Getting Thinner And Falling Out Starting From Around Her Neck All The Way To Her Poor Tail. She Does Not Have A Ravenous Appetite And Never Has. She Is Not Pot Bellied Either. She Use To Be On A Daily Dose 1 Pill X 2 A Day Of Prednisone For Gastro Issues For Around 3 1/2 Months. The Vet Suspects She Might Have Had Cushings Since Way Younger Around 4 To 5 Weeks Old When All Her Issues Started. Colitis Vomiting Ear Infections And Diarrhea With Continual Urinary Tract Infections. I Want My Little Girl To Be Comfortable Without Killing Her With Toxic Drugs I.e. Iradicating Her Adrenal Glands... Any Suggestions Would Be Great Thank You.
Answer:A 15 Month Old Dog With Cushings? Not Likely. I Would Strongly Recommend A Consultation With A Veterinary Internist In Your Area Or Specialist Who Can Review Workup And Offer Additional Diagnostics, As Well As Review The Workup Thus Far. As For Holistic Options, I Would Make Sure Your Diagnostic Workup Has Been Complete And Accurate Before Considering A Consultation With A Holistic Vet. To Learn More About Holistic Vet Medicine, See Www.doctordym.com Many Holistic Vets Offer Phone Consultations As Well
Question:I Have A 4 Year Old Female Cat . She Has Been Fixed And Has Never Been Pregnant. She Has Just Started Urinating Outside Of Her Litter Box, Basically Anything Left In The Floor. I Haven't Observed Any Other Symptoms And Was Wondering If You Believe This Is A Uti
Answer:A Urinary Tract Inflammation Is Possible, So Best To Have Vet Exam And Urine Analysis, Etc. Many Vets Overdiagnose And Overtreat These Cases With Antibiotics, Even Though Studies Show That Most Cats With Signs Of Lower Urinary Tract Inflammation Dont Have Primary Infections As A Cause. Cats With Chronic Lower Urinary Tract Disease Are Best Treated Holistically, In My Opinion And Experience. See Www.doctordym.com
Question:Can Rilexine Chewable Tablets For Canines Be Crushed Up And Given To A Cat? My Cat Just Finished Two Weeks Of Clavamox Which Was Prescribed For A Respitory And Urinary Tract Infection. The Urunary Tract Infection Cleared Up, But She Still Seems To Have Upper Respitory Issues. Thank You.
Answer:I Dont Think There Is A Problem Crushing Up Chewable Tablets Like This. If Upper Respiratory Symptoms Persist, Then It May Be Best To Have Vet Recheck Exam And/or Consider Immune Support With Dmg Liquid And/or Lysine Products, As Many Of These Cats Have Viral Infections Like Calici Virus Or Feline Herpes Virus
Question:I Have A 9-year-old Unspayed Female Hypothyroid With Diabetes. Her Blood Sugar Was Consistently Around 100 Until She Went Into Her Heat Cycle. Now, She's Been Diagnosed As Hypothyroid. But Her Blood Sugar Has Been Dangerously High Since She Began Her Heat Cycle. My Vet Is Stumped And So Am I. Any Suggestions On How To Bring That Bg Back Down. She Was Taking 15 Units And Is Now At 50 Units And Completly Insulin Resistent.
Answer:With Intact Female Dogs, Other Hormonal Conditions Can Be Very Difficult To Interpret, Much Less Diagnose, Including Hypothyroidism. I Would Also Make Sure Your Vet Has Ruled Out Complicating Infections If Diabetics That Can Interfere With Regulation, And Should At Least Have Urine Analysis And/or Urine Culture As Urinary Tract Infections Common In Diabetics
Question:I Have A 8 Month Old Puppy She Is A Jack Russell Beagle Mix Who Keeps Getting Urinary Tract Infections I Have Her On A Probiotic And Cranberry Supplements I Know She Was Licking Her Privates And Then She Started Peeing Blood I Have Taken Her In Before To The Vet And They Gave Me Antibiotics What Would Cause Reoccurring Urinary Tract Infection
Answer:They Might Have Not Completely Resolved The Urinary Infection Or There May Be A Resistant Bacteria. A Sterile Urine Culture At The Veterinarian Is Needed Here, As Well As Urine Analysis. Sometimes Antibiotics Are Needed For 6 To 8 Weeks In Deep Or Recurrent Infections.
Question:Hello, I Recently Adopted A Kitten About A Month Ago He Is About 10 Months Old. He Was Fine With Using The Litterbox Until Recently He Went In The Bathroom Sink Which He Has Never Done Before. It Seems Like He Is Going More Frequently And Seemed A Little Lethargic Yesterday. Could This Be A Uti?
Answer:Urinary Tract Inflammation Is Possible, However Primary Infections Of The Bladder Are Rare In A Cat This Age, Unless The Cat Has Had A Urinary Catheter Placed. I Would See Vet For Exam And Urine Analysis, As Well As Likely Starting Him On An All Wet Food Diet, As Cats On Dry Kibble Are More Prone To Urinary Tract Inflammation And Crystals
Question:What Can I Do About My 8 Yr. Old Shih Tzu/boston Terrier From Hiking His Leg And Urinating In The House? My Husband Died This Past April, So I Had To Move In With My Daughter And Her Family (i'm Very Disabled). This Is Causing A Big Problem. Oliver Is All I Have Left, I Can't Lose Him. Please Help Me? I'd Punish Him, If I Caught Him. He's Sneaky, He Knows Better.
Answer:If He Is Not Neutered, Then He Should Be Neutered To Hopefully Help If This Is Hormonally Related. If He Is Neutered, Then Working With A Behaviorist Or Trainer In Your Home Can Help As Well. I Would Also Have A Urine Analysis Done At Vet To Make Sure No Urinary Tract Infections Involved
Question:My Dog Kept Licking Around Her Urethral Opening. When I Looked At It, There Was An Open Raw Wound. No Purulence. I Trimmed Her Hair With Clean Round Nose Scissors. I Then Cleaned Her With Johnson's Baby Shampoo As A Soap And Rinsed. I Let This Dry, Then I Put On Hydrocortisone Cream 1% Neosporin Ointment Applied With A Q-tip. Of Course, It Was Very Sensitive For Her. We Have Been Doing This Treatment Bid X 2 Days. Some Of The Hair Around Her Urethra Opening Looked Matted With Some Brown Sticky Matter That Was Not Easily Washed Out As It Has Consistency Of Dry Oil. Could She Have A Uti, Which Is Causing The Irritation? She Has No Other Signs Or Symptoms Of An Illness. She Is 11.5 Years Old, And Otherwise Healthy, Except She Does Take Ranitidine 75 Mg Bid For Gerd. She Eats Very Well, Drinks Normal Amounts Of Water. She Has No Previous Uti Problems Or Bm Problems. We Have Not Changed Her Food Or Her Diet. Her Rectum Is About 4 Inches From Her Urethra And I Do Not Think Any Fecal Matter Has Gotten Near This Area. I Have A Male Dog That Is Constantly Trying To Mount Her But Never Makes It. Both Dogs Are Indoor Dogs. It Appears To Be Resolving And Getting Better. We Have An Elizabethan Collar On Her To Keep Her From Licking The Area. Should We Continue This Treatment Or Do You Think She Might Have A Uti And Need To Go To The Vet? Thank You For Your Help.
Answer:I Would Indeed Have A Veterinary Exam Of The Area, As Well As Have A Urine Analysis To Make Sure No Urinary Tract Infection That May Need Systemic Antibiotics. Ascending Urinary Tract Infections Traveling Up The Urethra Are Very Common In Dogs With This Sort Of Inflammation Around The Urethra, And This Possibility Needs To Be Ruled Out
Question:My 11-year-old Pomeranian Suddenly Stopped Eating On Sunday, And Was Put To Sleep On Tuesday; However, We Are Still Uncertain About The Cause Of All This. When We Took Him To The Vet On Monday, We Told The Vet Our Dog Wasn't Eating And So The Vet Took Blood Tests, And While Taking Urine Samples, She Shaved Off The Fur On My Dog's Underside. There, The Skin Was Red And Bruised, From The Chest All The Way To The Inner Thighs. We Never Noticed This Because My Dog Had A Thick Coat Of Fur. The Dr Then Did An Ultrasound And Saw Stones In His Urinary Tract. It Was Concluded That My Dog Needed To Be Hospitalized In Order To Determine The Cause Of His Lack Of Appetite And The Severe Bruising. However, We Took Him To Another Dr For A Second Opinion. The Second Dr Also Concluded Similar Findings, Stating That My Dog Needed To Be Hospitalized For Further Testings. My Dog Was Weak, Not Eating, Not Drinking Much Water, And Therefore Was Connected To A Drip. The Next Day, Dr Called Us And Informed Us That My Dog's Condition Was Deteriorating. They Found Kidney Stones As Well As Shadows Through X-ray Scans. They Also Said My Dog's Stomach Was In Extreme Pain, And The Blood In His Body Wasn't Clotting. Most Importantly, He Still Wasn't Eating And Was Extremely Tired. They Informed Us That Our Dog Might Have Internal Bleeding (thus, The Red Bruising), A Tumor That Broke, Poisoned, Tick Bite Fever, Etc... There Were Many Hypotheses As To What Happened To My Dog, But None Were Clear Until Further Tests Be Conducted. We Were Given Options To Either Let The Dr Continue To Check And Find Out What's Going On, Or Put Him To Sleep. If We Were To Continue, The Next Step Would Be Performing A Full-body Ultrasound While Anesthetized Because He Was In Too Much Pain. However, This Was A Highly Dangerous Move Because My Dog May Never Wake Up From It As He Was Too Weak. It Was A Difficult Decision But In The End, We Chose To End My Dog's Misery And Let Him Have A Peaceful Sleep. However, I Am Still Curious As To What Caused My Dog's Sudden Lack Of Appetite (he Was Perfectly Fine Up Until Saturday Night) And The Red Bruising That Covered His Entire Underside (his Tummy, Genital Area, Inner Thigh). My Dog Had Been Healthy All These Years Without Major Illness, Although Two Years Ago He Had A Slight Urinary Tract Infection. I Don't Want To Regret Over Making This Decision... Please Help, Thank You.
Answer:From Your Description It Does Sound Like Your Dog Had Problem Blood Clotting,(from Your Description Of The Bruising) But I Think Your Vets Could Have Been Able To Make That Diagnosis By Doing Initial Blood Work, Etc Which Should Show Low Platelet Count Possibly. If Low Platelets, Most Common Cause In This Breed At This Age Is Autoimmune Disorder Called Autoimmune Thromcytopenia, Which Is Where Immune System Destroys Platelets, Known As Itp . Not Sure Why They Would Need To Anesthetize A Dog In This Shape To Do Ultrasound. I Have Not Heard Of That. If Dog Had Itp He Should Have Been Immediately Started On Immune Suppressive Dose Of Prednisone And Possibly Other Immune Suppressive Drugs To Give Him A Chance. Not Sure It Sounds Like They Did That? I Will Usually Start These Dogs On Doxycycline As Well, In Case Tick Born Infections Involved. Stones Found In Kidneys, Etc Have No Role Here.
Question:My 8 Yeqr Old Cat Was Recently Diagnosed With Diabetes.his Blood Sugar Was 535.weight 15lbs.the Vet Started Him On Novolin 2units Bid.after 1 Week His Blood Sugar Was Tested And The Lowest Level Post Insulin Was 438.he Upped The Dose To 3units.after 3 Days The Cat Was Still Drinking/peeing A Lot.so I Upped To 4 Units,No Change In His Symptoms.if I Take Him Back To Have His Bs Checked I Believe It Will Still Be High.how High Should I Safely Go Up On The Dose To Find A Change In His Symptoms.he Is Also Hungry All The Time And Ask To Be Fed( Friskies Cat Food)please Advise. Thank You.
Answer:I Would At Most Go Up Another Unit And Then If No Improvement Have Urine Culture To Make Sure No Infections Of Urinary Tract Complicating Insulin Management, As Well As Also Consider Changing Insulin Types To Protamine Zinc Insulin Which Works Better Often In Cats
Question:What Is The Success Rate For Perineal Urethrostomy Procedures? What Is The Return To Normal Time After This Procedure? How Often Do Cats Reobstruct? Are There Other Options For Treatment Other Than Surgery? Do You Recommend Any Special Diet After Treating A Blocked Cat?
Answer:Success Rate Of Perineal Urethrostomy Is Often Very Successful, Especially If Done By Good Surgeon. Only Rarely Do Surgical Complications Like Strictures Of Urinary Tract Rarely Occur. Usually Cats Are Back To Normal Within A Few Weeks Of This Surgery, And Although They Dont Typically Block Up Again, They Can Still Get Recurrent Urinary Tract Inflammations And/or Infections That May Need To Be Treated. Hard To Predict About Rates Of Reblockage In Cats, Although I Would Say Close To 50 Percent May Reblock At Some Point In Future. Only Other Options Other Than Surgery, Are Working With Classical, Constitutional Homeopath On Chronic Approach To Improving Health, As Well As Consulting With Holistic Vet Schooled In Traditional Chinese Medicine. As For Diets, I Prefer Raw Meat Based Diets For These Cats As Described In The Book The Natural Cat By Anitra Frazier
Question:Hello, Last Year, My Dog Had Some Struvite Stones (dissolvable Ones--i Think They Are Struvite, Or Is It Oxillate?) Anyways, We Got Rid Of Them Thru Bottled Water, Amoxicillin Dose And Limited Ingredient Food. She Had Been Sick For Several Months, W/a Super Dry Nose, Cracked, Bleeding, And The Stones Passing. Seemed Like After The Round Of Amoxicillin For A Month, Her Nose Got Wet Again(was Told It May Not) And She Wasn't Eating Grass, No More Stones, Etc. Then, Around The End Of June, Dry Nose Started Up Again, She's Spinning Around On Her Butt, Panting Alot. No Stones That I See, But I'm Wondering If She Needs Another Round Of Antibiotics To Treat Whatever Secondary Infection Was Happening Before. Now, She's Eating Alot Of Grass Again And Eating Only A Small Amount Of Food. I Can't Afford A $200 Vet Visit And Am Wondering If This Infection Is Causing The Rapid Growth Of Her Lipomas (one On The Front Left Paw, Size Of A Ping Pong Ball And Three Small Ones, Almost The Size Of A Pea, Across Her Shoulder Blade Area). Please Just Share Some Insight, As I'm So Afraid I'm Hurting Her.
Answer:Not One I Can Shed Alot Of Insight Without A Vet Evaluation And/or Diagnostic Testing. I Would Not Assume She Has Infection, Unless Urine Analysis At Vet Tells Us That. I Dont Think Any Urinary Tract Inflammations Or Infections Have Anything To Do With Lipomas, Which Are Unrelated. Only Vet Exam And Evaluation Can Determine If Further Antibiotics And/or Diet Adjustments Are Needed.